EP2549950A4 - Procédés et systèmes pour l'implantation d'endoprothèse vasculaire dans l'orifice d'une bifurcation - Google Patents

Procédés et systèmes pour l'implantation d'endoprothèse vasculaire dans l'orifice d'une bifurcation Download PDF

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Publication number
EP2549950A4
EP2549950A4 EP11760254.0A EP11760254A EP2549950A4 EP 2549950 A4 EP2549950 A4 EP 2549950A4 EP 11760254 A EP11760254 A EP 11760254A EP 2549950 A4 EP2549950 A4 EP 2549950A4
Authority
EP
European Patent Office
Prior art keywords
bifurcation
systems
methods
ostial
stenting
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP11760254.0A
Other languages
German (de)
English (en)
Other versions
EP2549950A1 (fr
Inventor
Henry Bourang
Mehran Khorsandi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Advanced Bifurcation Systems Inc
Original Assignee
Advanced Bifurcation Systems Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Advanced Bifurcation Systems Inc filed Critical Advanced Bifurcation Systems Inc
Publication of EP2549950A1 publication Critical patent/EP2549950A1/fr
Publication of EP2549950A4 publication Critical patent/EP2549950A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/856—Single tubular stent with a side portal passage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9522—Means for mounting a stent or stent-graft onto or into a placement instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958—Inflatable balloons for placing stents or stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/16—Biologically active materials, e.g. therapeutic substances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/97—Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve the outer sleeve being splittable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/061—Blood vessels provided with means for allowing access to secondary lumens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/001—Figure-8-shaped, e.g. hourglass-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0039—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in diameter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1045—Balloon catheters with special features or adapted for special applications for treating bifurcations, e.g. balloons in y-configuration, separate balloons or special features of the catheter for treating bifurcations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1079—Balloon catheters with special features or adapted for special applications having radio-opaque markers in the region of the balloon
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/49—Method of mechanical manufacture
    • Y10T29/49826—Assembling or joining
    • Y10T29/49908—Joining by deforming
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/49—Method of mechanical manufacture
    • Y10T29/49826—Assembling or joining
    • Y10T29/49908—Joining by deforming
    • Y10T29/49909—Securing cup or tube between axially extending concentric annuli
    • Y10T29/49913—Securing cup or tube between axially extending concentric annuli by constricting outer annulus

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Epidemiology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)
EP11760254.0A 2010-03-24 2011-03-24 Procédés et systèmes pour l'implantation d'endoprothèse vasculaire dans l'orifice d'une bifurcation Withdrawn EP2549950A4 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US31713010P 2010-03-24 2010-03-24
US31719810P 2010-03-24 2010-03-24
PCT/US2011/029859 WO2011119880A1 (fr) 2010-03-24 2011-03-24 Procédés et systèmes pour l'implantation d'endoprothèse vasculaire dans l'orifice d'une bifurcation

Publications (2)

Publication Number Publication Date
EP2549950A1 EP2549950A1 (fr) 2013-01-30
EP2549950A4 true EP2549950A4 (fr) 2017-05-10

Family

ID=45879077

Family Applications (4)

Application Number Title Priority Date Filing Date
EP11760254.0A Withdrawn EP2549950A4 (fr) 2010-03-24 2011-03-24 Procédés et systèmes pour l'implantation d'endoprothèse vasculaire dans l'orifice d'une bifurcation
EP19203021.1A Active EP3616655B1 (fr) 2010-03-24 2011-03-24 Sertissage sélectif d'endoprothèse
EP11760253.2A Active EP2549949B1 (fr) 2010-03-24 2011-03-24 Sertissage sélectif d'endoprothèse
EP23186983.5A Pending EP4275660A3 (fr) 2010-03-24 2011-03-24 Sertissage sélectif d'endoprothèse

Family Applications After (3)

Application Number Title Priority Date Filing Date
EP19203021.1A Active EP3616655B1 (fr) 2010-03-24 2011-03-24 Sertissage sélectif d'endoprothèse
EP11760253.2A Active EP2549949B1 (fr) 2010-03-24 2011-03-24 Sertissage sélectif d'endoprothèse
EP23186983.5A Pending EP4275660A3 (fr) 2010-03-24 2011-03-24 Sertissage sélectif d'endoprothèse

Country Status (5)

Country Link
EP (4) EP2549950A4 (fr)
CN (1) CN103037817B (fr)
AU (1) AU2011232358B2 (fr)
CA (1) CA2794279A1 (fr)
WO (2) WO2011119880A1 (fr)

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US9358037B2 (en) * 2007-06-26 2016-06-07 Roxwood Medical, Inc. Method and apparatus for centering a microcatheter within a vasculature
EP2977072A1 (fr) 2007-06-26 2016-01-27 Roxwood Medical, Inc. Appareil à cathéter pour le traitement de systèmes vasculaires
US9125683B2 (en) 2007-06-26 2015-09-08 Roxwood Medical Inc. Method and apparatus for placing a catheter within a vasculature
US9126020B2 (en) 2007-06-26 2015-09-08 Roxwood Medical, Inc. Catheter apparatus with telescoping lumen catheters and its use in methods for treating vasculatures
US8769796B2 (en) 2008-09-25 2014-07-08 Advanced Bifurcation Systems, Inc. Selective stent crimping
US8979917B2 (en) 2008-09-25 2015-03-17 Advanced Bifurcation Systems, Inc. System and methods for treating a bifurcation
EP2344068B1 (fr) 2008-09-25 2022-10-19 Advanced Bifurcation Systems Inc. Stent partiellement serti
US8821562B2 (en) 2008-09-25 2014-09-02 Advanced Bifurcation Systems, Inc. Partially crimped stent
US12076258B2 (en) 2008-09-25 2024-09-03 Advanced Bifurcation Systems Inc. Selective stent crimping
US11298252B2 (en) 2008-09-25 2022-04-12 Advanced Bifurcation Systems Inc. Stent alignment during treatment of a bifurcation
US10166362B2 (en) 2015-04-15 2019-01-01 Sanford Health Pulmonary embolism apparatus
AU2011232360B2 (en) 2010-03-24 2015-10-08 Advanced Bifurcation Systems Inc. Methods and systems for treating a bifurcation with provisional side branch stenting
EP2549951B1 (fr) 2010-03-24 2017-05-10 Advanced Bifurcation Systems, Inc. Alignement de stent pendant le traitement d'une bifurcation
WO2012109365A1 (fr) 2011-02-08 2012-08-16 Advanced Bifurcation Systems, Inc. Système et procédé pour traiter une bifurcation à l'aide d'une endoprothèse totalement sertie
CA2826760A1 (fr) 2011-02-08 2012-08-16 Advanced Bifurcation Systems, Inc. Appareil comprenant lusieurs endoprotheses et plusieurs ballonnets pour traiter des bifurcations et procedes d'utilisation
JP6381536B2 (ja) 2012-10-22 2018-08-29 ロックスウッド メディカル， インコーポレイテッド 血管系内でマイクロカテーテルを心合するための方法および装置
US9974675B2 (en) * 2014-04-04 2018-05-22 W. L. Gore & Associates, Inc. Delivery and deployment systems for bifurcated stent grafts
US10596354B2 (en) 2015-09-25 2020-03-24 Mark Taber Guide wires, catheters, and guide wire catheter systems and methods
CA3000948C (fr) * 2015-10-13 2024-02-20 Lightlab Imaging, Inc. Systeme d'imagerie intravasculaire et procedes pour determiner l'angle de vue du plan de coupe d'une ramification laterale
BE1024922B1 (fr) * 2017-01-19 2018-08-22 Omer Faruk Eker Système de mise en place d'un stent bifurqué
CN115279308A (zh) 2020-03-11 2022-11-01 高级分支系统股份有限公司 支架保持

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US20090171430A1 (en) * 2007-12-31 2009-07-02 Boston Scientific Scimed, Inc. Bifurcation stent delivery system and methods

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US8900207B2 (en) * 2008-08-29 2014-12-02 Barry F. Uretsky Apparatus and method for treatment of bifurcation lesions
US8123793B2 (en) * 2008-09-10 2012-02-28 Boston Scientific Scimed, Inc. Pre-crimp balloon inflation
EP2344068B1 (fr) * 2008-09-25 2022-10-19 Advanced Bifurcation Systems Inc. Stent partiellement serti

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US20010003161A1 (en) * 1996-11-04 2001-06-07 Vardi Gil M. Catheter with side sheath
US6325826B1 (en) * 1998-01-14 2001-12-04 Advanced Stent Technologies, Inc. Extendible stent apparatus
WO2000074595A1 (fr) * 1999-06-04 2000-12-14 Advanced Stent Technologies, Inc. Catheter a gaine laterale
US20070282419A1 (en) * 2003-10-16 2007-12-06 Minvasys, Sa Catheter system for stenting and drug treatment of bifurcated vessels
US20090171430A1 (en) * 2007-12-31 2009-07-02 Boston Scientific Scimed, Inc. Bifurcation stent delivery system and methods

Also Published As

Publication number Publication date
EP3616655A1 (fr) 2020-03-04
AU2011232358A1 (en) 2012-10-18
WO2011119880A1 (fr) 2011-09-29
EP2549949A4 (fr) 2017-03-22
AU2011232358B2 (en) 2015-10-08
WO2011119879A1 (fr) 2011-09-29
EP2549949B1 (fr) 2019-11-27
EP4275660A3 (fr) 2024-01-17
EP2549949A1 (fr) 2013-01-30
EP2549950A1 (fr) 2013-01-30
EP3616655B1 (fr) 2023-08-30
CN103037817B (zh) 2015-11-25
CN103037817A (zh) 2013-04-10
CA2794279A1 (fr) 2011-09-29
EP4275660A2 (fr) 2023-11-15

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